Individual
TAYE L CONKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1000 E 24TH ST, KANSAS CITY, MO 64108-2776
(816) 965-1154
Mailing address
1000 E 24TH ST, KANSAS CITY, MO 64108-2776
(816) 721-7509
(816) 416-7098
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
20130000402
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20130000402
—
MO
Enumeration date
06/12/2020
Last updated
06/12/2020
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